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Research Article

Factors Related to the Non-practice of Second Primary Cancer Screening in Middle–aged Cancer survivors : Using a population-based Korea National Health and Nutrition Examination Survey database, 2013-2017

중년기 암생존자의 이차암 검진 미수검 관련요인: 국민건강영양조사 제6기, 제7기(2013-2017) 자료 이용

Hyung-suk Jang1

장형숙1

1Department of Nursing, Chungwoon university
1청운대학교 간호학과
30 September 2019. pp. 135-144
PDF Citation
Abstract
본 연구는 중년기 암생존자의 이차암 검진 미수검 관련요인을 분석하기 위해 시도되었다. 제6기, 제7기 국민건강영양조사 자료를 이용하였고, 전체 응답자 39,225명 중 40세 이상 65세 미만의 암생존자 652명을 분석하였다. 수집된 자료는 SPSS 23.0 통계프로그램을 활용하여 기술통계, 카이제곱 검정, 로지스틱 회귀분석을 시행하였다. 연구결과, 중년 암생존자의 이차암 검진 미수검 영향요인은 질병 관련 요인인 규칙적 운동, 활동제한 여부, 흡연, 스트레스를 투입하였을 때 설명력 18.6%로(Hosmer and Lemeshow p-value=0.252, Nagelkerke R2=0.186) 나타났다. 중년 암생존자를 위한 이차암 검진 미수검률은 소인성 요인 측면에서 남성, 농촌 거주자, 사별이나 이혼대상자, 질병 관련 요인 측면에서 평소 스트레스 인지정도가 매우 높은 대상자 일수록 영향력이 큰 것으로 나타났다. 이상의 결과를 토대로 하여, 발생 가능한 이차암의 종류나 발생 빈도, 연령대 별 신체변화 등을 고려한 중년기 암생존자 맞춤형 이차암 검진 가이드라인을 개발해야 할 것이다.
This study was conducted to identify the factors related to secondary primary cancer (SPC) screening practice in middle-aged cancer survivors. The 6th and 7th Korea National Health and Nutrition Examination Survey (KNHANES) data were used and 652 cancer survivors aged 40 and under 65 were analyzed out of 39,225 respondents. The collected data were analyzed using IBM SPSS 23.0 statistical program. The results of the logistic regression analysis, which is the influence of secondary cancer screening in middle-aged cancer survivors, showed that the disease-related factors such as regular exercise, Limitation of general activity, smoking, and stress were 18.6 percent (Hosmer and Lemeshow p-value=0.252 Nagelke R2=0.186). The SPC screening non-practice rate for middle-aged cancer survivors is found to be more influential among men, rural dwellings, people who are widowed or divorced, and those who have a very high level of stress recognition in terms of disease-related factors in terms. The guidelines for SPC screening to cancer survivors in middle age should be developed in consideration of possible types of SPC frequency of occurrence, and body changes by age group.analyze the defective.
Keywords
Secondary primary cancer (SPC)
Cancer survivors
Cancer screening
Middle-aged
Korea National Health and Nutrition Examination Survey (KNHANES)
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Information
  • Publisher :The Society of Convergence Knowledge
  • Publisher(Ko) :융복합지식학회
  • Journal Title :The Society of Convergence Knowledge Transactions
  • Journal Title(Ko) :융복합지식학회논문지
  • Volume : 7
  • No :3
  • Pages :135-144
  • DOI :https://doi.org/10.22716/sckt.2019.7.3.041
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